Individual
KRYSTAL MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6167 MARSEILLES ST, DETROIT, MI 48224-1325
(313) 744-8669
Mailing address
6167 MARSEILLES ST, DETROIT, MI 48224-1325
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703116924
MI
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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